NPI 1083767610

Krystal L Demaine, PHDMTBC

Practitioner Music Therapist Beverly, MA

Practice location

Address: 111 Essex St, Beverly, MA 01915-3744
Phone: (617) 349-8485
Mailing address: 111 Essex Street, Beverly, MA 01915

Registered specialties

Music Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 06386 (MA)

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Registry record

NPI: 1083767610
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jan 2007
Record last updated: 14 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.